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MR. SAMUEL LEE BROCK PHARMACIST
NPI 1255932315
Pharmacist in Mountain Grove, MO

Active since November 05, 2020
2100 N MAIN AVE, MOUNTAIN GROVE, MO 65711(417) 926-4129(417) 926-7578 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel Lee Brock Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL LEE BROCK PHARMACIST (NPI 1255932315) is an individual pharmacist in Mountain Grove, Missouri, licensed in Missouri (2003029964) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1255932315
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. SAMUEL LEE BROCKCredential: PHARMACIST
Location Address2100 N MAIN AVEMountain Grove, MO 65711-2438
Mailing AddressRr 1 Box 425Vanzant, MO 65768-9704 · (417) 948-2383
Phone(417) 926-4129
Fax(417) 926-7578
Sole ProprietorYes
Enumeration DateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
✔ NPI 1255932315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MO · 2003029964
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2100 N MAIN AVE, Mountain Grove, MO 65711
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW AARON PIGG O.D.
Optometrist
2100 N MAIN AVE
MOUNTAIN GROVE, MO 65711
Wright County (417) 926-5912
WAL-MART STORES EAST, LP
Eyewear Supplier
2100 N MAIN AVE
MOUNTAIN GROVE, MO 65711
Wright County (417) 926-5107
LORA MCQUEEN RPH
Pharmacist
2100 N MAIN AVE
MOUNTAIN GROVE, MO 65711
Wright County (417) 926-4129
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
2100 N MAIN AVE
MOUNTAIN GROVE, MO 65711
Wright County (417) 926-4129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Brock's NPI number?

The NPI number for Samuel Brock is 1255932315. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Samuel Brock located?

Samuel Brock practices at 2100 N Main Ave, Mountain Grove, MO 65711. The listed phone number is (417) 926-4129.

What is Samuel Brock's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Samuel Brock was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.